Nasdaq (NASDAQ) · Healthcare
CorMedix Inc. CRMD
SpeculativeScore band: 30–40
The thesis, in one sentence
A dialysis catheter drug whose trailing profitability is the artefact of a temporary Medicare add-on that has already expired, leaving the whole case resting on where the reset payment lands.
Written for this site in plain English, without figures. The arithmetic is in the full report.
Key risks
- The transitional Medicare add-on has expired and the replacement is much smaller
- Guidance implies margins collapsing to near zero in the second half
- Rebate accruals have grown faster than sales, so operating cash overstates profit
What would change the verdict
- The reset add-on lands near the bottom of the company's own estimate
- The acquired hospital anti-infective portfolio fails to grow as the dialysis price falls
- The new large dialysis contract does not convert its pilot into volume
- Rebate accruals keep rising while reported operating cash flow stays flat
Read it yourself
Step five of the method is the reader's: open the latest annual or quarterly report and read it before acting on anything here. A score is a summary, and a summary is not understanding.
Next report expected 2026-11-16. The deep report was written against the filings available on 2026-09-08; anything published since is not in it.
Price, one year
DCF valuation range
range of the DCF modelsbase casetoday's price
Valuation range, shape only. Figures in the full version.
Monte Carlo outcome shape
scenarios below today's pricescenarios above today's pricetoday's price
Distribution of simulated outcomes around today's price. Bar heights only; the scale and the percentiles are in the full version.
Where the money goes
Last four reported quarters, 2025-09 → 2026-06, in USD. Filings data as gathered on 2026-09-08. Figures rounded to three significant digits.
Chapter one: Executive summary
Deep-value analysis — CorMedix Therapeutics (NASDAQ: CRMD)
Analysis date: September 8, 2026 · Reference price: … (09/04/2026) · Market cap: … · Shares outstanding: 77.667 mil. (06/30/2026) · Diluted shares (Q2 2026): 92.479 mil.
Primary sources: 10-K 2026-03-05 (fiscal 2025), 10-Q 2026-08-13 (Q2 2026), 10-Q 2026-05-14 (Q1 2026), 10-Q 2025-11-12 (Q3 2025), 8-K/ER 2026-08-13, DEF 14A 2026-04-29, SEC XBRL companyfacts, data pack data-pack-CRMD-20260908.md, Graham/Buffett/Lynch tracker. External checks: analyst consensus (stockanalysis.com, 5 analysts), CMS ESRD PPS.
Executive summary
CorMedix is no longer the company the mechanical tracker sees. The screen shows a P/E of 3.87, a free-cash-flow yield of …%, and a net margin of 40.5% — figures that, taken literally, would make CRMD the cheapest profitable company in the entire covered universe. All three are artifacts of a reimbursement window that closed on June 30, 2026. This is the whole thesis, in two sentences: the market isn't wrong about the apparent cheapness, it has already priced the cliff; the real question isn't "why is it at 3.9x earnings," it's "what is the business worth AFTER TDAPA disappears."
The mechanics. DefenCath (taurolidine + heparin, a catheter-lock solution for hemodialysis patients) entered TDAPA — Transitional Drug Add-on Payment Adjustment, a transitional Medicare supplement paid at 100% of average sales price, on top of the bundled ESRD payment — on July 1, 2024. Two years of full-price reimbursement drove revenue from … (2024) to … (2025) and operating profit from −… to +… On July 1, 2026, TDAPA converted into the post-TDAPA Add-On Adjustment, fixed by CMS at … per dialysis session for Q3 and Q4 2026 (10-K 2026-03-05, line 459). The company states it plainly: "the reimbursement level … has decreased significantly, and as a result CorMedix expects a corresponding decrease in net price" (10-Q Q2 2026, line 693).
Management's own guidance quantifies the cliff more brutally than any model of mine. FY2026 guidance maintained: consolidated revenue …-345 mil., adjusted EBITDA …-140 mil. Realized in H1 2026: revenue …, adjusted EBITDA … By subtraction, H2 2026 implies revenue of …-116 mil. and adjusted EBITDA between −… and +… The company will go, in a single quarter, from a 42% operating margin to roughly zero. It isn't a slowdown, it's a cliff — scheduled, announced, but absent from any trailing indicator.
What's left on the other side. Three things, all real: (1) the Melinta portfolio, acquired in August 2025 for … net of cash — six hospital anti-infectives plus TOPROL-XL, bringing ~… per quarter of revenue not exposed to dialysis CMS; (2) the add-on's reset on January 1, 2027, which the company estimates at 3-5x the … level, i.e. …-11.85 per session, valid through June 30, 2029; (3) a contract signed in Q2 2026 with the last major dialysis operator, completing top-5 US coverage, with the pilot starting in Q3 — new volume right when the price is at its low.
My free cash flow bridge. Simple FCF over the trailing 12 months is … USD, and I reject it as a valuation base, for three reasons verifiable in the filings: (a) gross-to-net accruals (rebates, chargebacks, returns owed to clients) grew from … (Dec. 2024) to … (Dec. 2025) and … (June 2026) — a substantial share of CFO is customers' money in transit, not profit; (b) the deferred tax asset was fully consumed in H1 2026 (… → 0), so tax becomes a cash outflow from now on; (c) TDAPA-era prices don't repeat. Normalized 2027 owner earnings: …, before contingent royalties (treated separately, as debt). This is the figure I fed to the simulation.
Verdict. At … CRMD trades at ~9.3x normalized owner earnings, with ~… of cash net of convertibles and a … buyback ceiling active through the end of 2027. Monte Carlo (20,000 scenarios, OE 71, g1 6%, r 12%, gt 0.5%) gives a median intrinsic value of …, a median safety margin of …, and 75% probability of undervaluation — but with a P10-P90 range from … to …, i.e. a distribution where the bottom quarter of scenarios earns nothing. Triangulation of the five models runs from … (bear: add-on at 3x, the June 2029 cliff, oritavancin impaired) to … (bull: add-on at 5x, REZZAYO in prophylaxis, DefenCath in TPN).
Verdict: SPECULATIVE BUY, small position (1/3 of the standard slice), with a waiting trigger. The cheapness is real only to the extent the 2027 add-on approaches the top end of the company's estimate. The verification moment isn't far off: the CMS final rule for CY2027 comes out in November 2026, and the Q3 reporting on November 16, 2026 will show the first full post-TDAPA quarter. Whoever buys now pays for the right not to wait for those two dates; whoever waits probably pays more, but with one of the two major uncertainties resolved. This isn't a full-size position: earnings quality is medium, the accounting has three soft spots documented below, and the securities litigation is entering the expert-report phase.
Figures were removed from this excerpt. The full report opens free for five tickers a week — see what's open now.
Full report contents
- Executive summary
- 🔒 Business and moat (Available in the full report)
- 🔒 Management and capital allocation (Available in the full report)
- 🔒 What changed over the last 4 quarters (Available in the full report)
- 🔒 Balance-sheet analysis — Quality of Earnings (Thornton O'Glove method) (Available in the full report)
- 🔒 CEO profile — Outsider traits (William Thorndike method) (Available in the full report)
- 🔒 Accounting red flags (Available in the full report)
- 🔒 Triangulated valuation (Available in the full report)
- 🔒 Pre-mortem (Available in the full report)
- 🔒 Verdict versus the tracker's GBL score (Available in the full report)
Evaluation history
| Date | Verdict |
|---|---|
| 2026-08-17 | Speculative |
| 2026-09-06 | Speculative |
| 2026-09-08 | Speculative |
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